5-VENDOR INFORMATION FORM.pdf
PDF 1 MB Posted
- Solicitation number
- 26-029
- Issued by
- Marion County, Florida
About this file
This is a Vendor Information Form associated with multiple state and local contract opportunities involving the City of Tempe, Arizona; Marion County Utilities in Florida; and the City of Sandy Springs. The primary opportunity is the City of Tempe's Request for Proposal (RFP 26-029) for legal and compliance services supporting its Fire Medical Rescue Department's ambulance operations. The City seeks a comprehensive legal services provider to deliver ongoing advisory services, ambulance claims audit services, revenue cycle assessments, HIPAA compliance evaluations, and Certificate of Necessity compliance reviews through an initial 12-month retainer agreement with potential renewals for up to four additional years. Inquiries must be submitted by September 5, 2025, at 5:00 PM, with proposal submissions due September 15, 2025, at 3:00 PM Arizona local time. Additional procurement activities include Marion County's installation of PVC coated polyester curtains at a water reclamation facility and the City of Sandy Springs' request for qualified contractors to provide 24/7/365 towing, recovery, and vehicle storage services on an as-needed basis.
Pricing will be evaluated based on hourly rate structures for various attorney levels ranging from senior partners to paralegals, with payment terms of net 30 days following receipt and approval of itemized monthly statements. The evaluation criteria allocate 20 points for firm experience and qualifications, 15 points for claims and compliance methodologies, 15 points for regulatory expertise, and 15 points for pricing, totaling 100 points. Selected contractors must maintain comprehensive insurance coverage including $1 million commercial general liability per occurrence, $2 million aggregate, $1 million professional liability per claim, and workers' compensation insurance, with the City named as additional insured. The RFP does not specify explicit set-aside designations or restrictions for disadvantaged enterprises. The City reserves the right to terminate the contract for convenience with 30 days' notice or unilaterally extend the contract for up to 90 days beyond the stated term. The Vendor Information Form itself requests standard business registration details including legal business name, FEIN, authorized signatory information, primary business contact details, and headquarters or legal address information.
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Text version
Vendor Information Form
Legal Business Information
Legal Business Name Doing Business As (DBA)
FEIN
Authorized Signatory This should be the person legally authorized to sign contracts on behalf of the vendor.
First Name Last Name Primary Email Address Secondary Email Address Phone Number
Primary Business Contact If different from signatory First Name Last Name Title/Position Phone Number Email Address
Company Address Information Headquarters or Legal Address Street City State Zip Code
| Doing Business As DBA: |
| Secondary Email Address: |
| Primary Email Address 1: |
| First Name: |
| Last Name: |
| Legal Business Name: |
| FEIN: |
| Phone Number: |
| Primary First Name: |
| Primary Last Name: |
| Title or Position: |
| Primary Phone Number: |
| Primary Email Address 2: |
| Street: |
| City: |
| State: |
| Zip Code: |
File details come from the government source that posted it. Updated .